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the£verAreen � O N ST R U CT I O� • <br /> ciiv Or � <br /> everett PERMIT PERMI7 N0. 147H� <br /> CITY HALL 259�8745 <br /> EVERETT,WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAI�ADDRE55 CITY ZIP PHONE <br /> Richard J. Sullivan 2722 Colby Suite 722 Everett 98201 259-3656 <br /> �P^.MITEGT OR DESIGNEF MAIL ADDRE55 CITY ZIP PMONE <br /> GENER�L CONTRACTOR MAIL ADDPE55 CITY 21P PMONE LIGENSE� <br /> Same <br /> MEGHANICAL CONTFRCTOR MAIL ADDRE55 CITY .'IP PMONE LICENSE I <br /> PLUMBING CONTPACTOR MRIL AODflE55 LITY IIP PHONE LICENSE 1 <br /> CUSS OF WORK <br /> ❑ NEW ❑ AODITION ❑ ALTERATION ❑REPAIR E�CUEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WOPN <br /> S <br /> DESCRIBE WORK <br /> Demolish Single Family Residence and Gara�e <br /> FROPOSED USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DESCPIPTION OF PROPERT�ISHOW BELOW OR ATfACH FOUR COPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> 23-24-SS 25 431 Everett CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOi__ULOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEHEIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PHOVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFO ANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGNA ONTR AUT ORIZEO AGENT DATE <br /> 2118 Grand Avenue X 4 29 85 <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE t70. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILEn AIR COND.UP�ITS- H.P.EA. <br /> BATHTUB HEFRIGERA710N UNITS - H.P.FA. <br /> LAVATORY(WASH BASIN) 601LERS- H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS -TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS- B.T.U. M EA. <br /> DISHWASMER WALL HEATERS- B.T.U. M <br /> LAUNDRVTRAY UNIT HEATERS- B.T.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> WATER MEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT- C.F.M. <br /> VAGUUM BREAKEHS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADERS ME7AL FIREPLACE d CHIMNEY <br /> SIN✓.(SEPJICE- BAfi.E7C.) FIREPLACE INSEFT <br /> HEAT PUMP <br /> SUB TOTAL i SUB TOTAL f <br /> PERMIT S PERMIT S <br /> TOTAL FEC' S TOTAL FEE f <br /> SIOE YARD SETBACK STREET SETBACK REAR YARD SE70ACK PLAN CHECK NUMBER PIAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> .-;YES �. -NO FEES VALUAIION FEE <br /> TYPE OF CO4ST. OCCUPANGV GROUP NO.OF DWELLING UNITS <br /> BUILDING S 00 OO <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCG LOAD - <br /> PLUMBING <br /> FIRE 2G1�E BASEMENT Plf'E SPRINKLERS MECMANICAL <br /> REaUIRED <br /> i YE5 i:NO <br /> APPROVALS BY DATE OTHER <br /> 7.ENVIRONMcNTAL CHECK LISi PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.3031a) _ <br /> 3.FIREHYDRANT ipTAL 00 OC <br /> l.FIRE PROTEG i ION SVSTEM PERMIT VALIDATION <br /> S.GRADING WHEN PROPERLY VALIDATED(IN THIS�SPACEI THIS IS YOUR�ERMLI._ �� <br /> 6.DRAINqGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> B.HEALTH DISTRICT ' ' � <br /> APPLICATION ACC. BY PLAIJS CHECKED BY APPR. FOR ISSUANCE BY � � <br /> ADDRESS FILE <br />